Individual
DR. SHADI MAYASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
C156459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063734
—
OH
Enumeration date
01/27/2010
Last updated
12/17/2019
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